HomeMy WebLinkAboutX2020-2902 - Permit ApplicationL!6Print Form _ Worksheet for Combo Building & Solar Permit Application o gW�ar@
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ProjectAddress (Not mailing address) 7 Flood [7 Fire � Liq F; Landslide XN/A Floor Suite No
Description of Work
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# Stories : # Units (if Res)F
Valuation $
Material/Labor
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-OWNER'S NAME
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.Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last s First
Applicant's Address - Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Lastaa'.,first U Lic. N -fie?
Architect/Designer's Address Architect/Designer's E-mail Address
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ENGINEER'S NAME Last FirsY[::3e4 Lic. No �-�— —
Engineer's Address Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY y Lic. No. F__, Class
Contractor's Address Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMIT NO. �A1 �rjjqa 5ckv,
SETBACKS LEFT �4 SETBACKS RIGHT PLAN CHECK NO.
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USE ZONE DEVELOPMENT NO1 1 PLAN CHECK
FEES $